| NPI | 1538155643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E TREFZGER Manager 828-322-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC HAL036018) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2021-07-28 |